From the 2/26/2021 release of VAERS data:
This is VAERS ID 293334
| Days after vaccination:||9
| Days after onset:||11
| Days after submission:||7
|Vaccination / Manufacturer
||Lot / Dose
||Site / Route|
|DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS
||AC21B097AB / 2
||LL / IM
|HIBV: HIB (ACTHIB) / SANOFI PASTEUR
||UF117AA / 3
||RL / IM
|PNC: PNEUMO (PREVNAR) / PFIZER/WYETH
||B08690K / 3
||RL / IM
|RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC.
||1032F / 3
||MO / PO
Administered by: Public Purchased by: Public
Symptoms: Intestinal functional disorder,
SMQs:, Gastrointestinal obstruction (narrow), Gastrointestinal nonspecific inflammation (narrow)
Life Threatening? No
Birth Defect? No
Permanent Disability? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Other Medications: Omnicef
Current Illness: Ear infection
Preexisting Conditions: Ventral hernia. PMH: multiple ear infections.
Diagnostic Lab Data: Abd sonar. Labs and diagnostics: US abd (10/3/07) shows a transient small bowel intussusception which resolved during the course of the study. US abd (10/5/07) again showed a transient small bowel intussusception in the RUQ. Abd X-ray 10/11/07 with a non-obstructive gas pattern. US abd (10/11/07) no IS. C-diff toxin (-).
CDC Split Type:
Write-up: Severe intestinal irritability with U/S documented small bowel intussusception. 11/26/2007 MR received for several OV with ped surgeon and ped gastroenterology beginning 10/03/2007 to 11/08/07 operative report for ventral hernia repair. Child presented to ped surgeon on 10/03/2007 with c/o significant diarrhea as well as blood in stool. Seen again 10/5/07 for irritability and abdominal pain. DX: irritable bowel 2'' disrupted bowel flora. GI visit 10/18/07 with assessment: Constipation. Milk Allergy. Diarrhea. Abdominal pain. Ventral hernia. Ventral hernia repair on 11/08/07. 12/10/2007 Vaqx record received from PCP. Corresponds with VAERS report.
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